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Journal of critical care · Feb 2014
Teaching and practicing cost-awareness in the intensive care unit: A TARGET to aim for.
- Matthew H R Anstey, Steven E Weinberger, and David H Roberts.
- Harvard Medical School; The Commonwealth Fund. Electronic address: manstey@bidmc.harvard.edu.
- J Crit Care. 2014 Feb 1;29(1):107-11.
AbstractIntensive care is one of the main contributors to rising inpatient hospital costs due to frequent use of expensive diagnostics and therapies. With successful track records of team- and protocol-based care, intensive care units are ideal sites to take the lead in reducing overuse and misuse of diagnostic tests and prescribing. We offer a framework for practicing and teaching cost-awareness in the intensive care unit based on the acronym TARGET. The components of the care are as follows: Talk to patients about their preferences for care, Ask for outside tests, avoid Routine and/or Repeated tests, prescribe Generic medications, Educate about costs, and Transfuse appropriately.© 2013.
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